ʻO ka leukemia lymphoblastic ākea (ALL)

ʻO ka leukemia lymphoblastic huikau (ALL) kahi maʻi ʻaʻai e ulu wikiwiki nei o kahi ʻano keokeo keʻokeʻo i kapa ʻia he lymphoblast.

Kū a pau ke hana ka iwi iwi i kahi nui o nā lymphoblast makua ʻole. ʻO ka iwi iwi ka mea palupalu i waenakonu o nā iwi e kōkua ai i ke kūkulu ʻana i nā hunaola āpau. Ulu wikiwiki nā lymphoblast abnormal a hoʻololi i nā hunaola maʻamau i ka momona o ka iwi. Pale nā ​​mea āpau i nā hunaola olakino maikaʻi ke hana ʻia. Hiki i nā ʻōlima hoʻoweliweli ke ola i ka heleleʻi ʻana o ke koko maʻamau.

ʻO ka hapa nui o ka manawa, ʻaʻohe kumu maopopo e ʻike ʻia no KATOA.

Hiki i nā mea aʻe ke hana i ka hoʻomohala ʻana i nā ʻano like ʻole o ka leukemia.

• ʻO kekahi mau pilikia chromosome
• Hōʻike i ka radiation, me x-ray ma mua o ka hānau ʻana
• ʻO ka hana i hala me nā lāʻau chemotherapy
• Ke loaʻa ʻana o kahi iwi kuʻi iwi
• Nā Toxins, e like me benzene

ʻO nā kumu aʻe i ʻike ʻia e hoʻonui i ka makaʻu no ALL:

• Down syndrome a i ʻole nā ​​ʻano maʻi ʻē aʻe
• He kaikunāne a kaikuahine paha me ka leukemia

Hoʻopili pinepine kēia ʻano leukemia i nā keiki mai ka makahiki 3 a 7. KĀLA ʻo ka maʻi ʻaʻai nui o nā kamaliʻi, akā hiki nō ke hana i nā mākua.

KAHI hana i ke kanaka e kahe i ke koko a hoʻomohala i nā maʻi. ʻO nā hōʻailona me:

• ʻEha iwi a me ka ʻeha pū
• Oluolu bruising a me ka kahe ana (e like me ka kahe koko, ili kahe ana, nosebleeds, abnormal period)
• Manaʻo nāwaliwali a luhi paha
• Fiva
• Ka nele o ka makemake a me ka pohō kaumaha
• Maʻaleʻa
• ʻO kaʻeha a me ka manaʻo o ka piha ma lalo o nā iwi ʻaoʻao mai kahi ake nui a i ʻole spleen
• Pinpoint ʻulaʻula kiko ma ka ʻili (petechiae)
• Pehu nā lymph node i ka ʻāʻī, ma lalo o nā lima, a me ke ʻūlū
• Hoʻoulu ka pō

Hiki i kēia mau ʻōuli ke hana me nā kūlana ʻē aʻe. E kamaʻilio me kahi mea mālama ola e pili ana i ka manaʻo o nā hōʻailona kikoʻī.

E hana ka mea hāʻawi i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona.

Pili pū paha nā hoʻokolohua koko:

• Helu piha ke koko (CBC), me ka helu keokeo o ke koko (WBC)
• Heluna pāluna
• Biopsy iwi ʻōiwi
• Lumbar puncture (spinal tap) e nānā ai i nā leukemia i loko o ka wai o ka iwi

Hana ʻia nā hoʻokolohua e nānā i nā loli i ka DNA i loko o nā keokeo keʻokeʻo maʻamau. Hoʻoholo paha kekahi mau loli DNA i ka maikaʻi o ka hana a ke kanaka (wānana), a me ke ʻano o ka lāʻau e koi ʻia ai.

ʻO ka pahuhopu mua o ka mālama ʻana e hoʻihoʻi i ke koko i ka maʻamau. Inā kū kēia a nānā ke olakino iwi i ke olakino ma lalo o ka microscope, ʻōlelo ʻia ka maʻi ʻaʻai i ke kala.

ʻO Chemotherapy kahi lapaʻau mua i hoʻāʻo ʻia me ka pahuhopu o ka hoʻokō ʻana i kahi kala.

• Pono paha ke kanaka e noho i ka haukapila no ka chemotherapy. A i ʻole hiki ke hāʻawi ʻia ma kahi keʻena lapaʻau a hoʻi ke kanaka i ka home ma hope.
• Hāʻawi ʻia ʻo Chemotherapy i loko o nā veins (e IV) a i kekahi manawa i loko o ka wai a puni ka lolo (ka lāʻau spinal).

Ma hope o ke kala ʻia ʻana, hāʻawi ʻia kahi lāʻau hou aʻe e hoʻokō ai i kahi lāʻau. Hiki i kēia lapaʻau ke hoʻohui i ka IV chemotherapy a i ʻole ka radiation i ka lolo. ʻO ke kolo paʻa a i ʻole, iwi o ka iwi, hoʻoneʻe ʻia mai kekahi kanaka ʻē aʻe paha. Pili hou ka mālama ʻana i:

• Ka makahiki a me ke olakino o ke kanaka
• Hoʻololi nā genetic i nā huna leukemia
• Ehia mau papa o ka chemotherapy i hana ai e hoʻokō ai i ke kala
• Inā ʻike ʻia nā keena ʻē aʻe ma lalo o ka microscope
• Loaʻa ka loaʻa o nā mea hāʻawi no ka transplant cell stem

Pono ʻoe a me kāu mea lawelawe e mālama i nā hopohopo ʻē aʻe i kāu mālama leukemia, e like me:

• Loaʻa ka chemotherapy ma ka home
• Ka mālama ʻana i kāu mau holoholona i ka manawa o ka chemotherapy
• Nā pilikia koko
• Waha maloo
• ʻO ka ʻai ʻana i ka nui o nā calories
• ʻAi palekana i ka wā o ka mālama ʻana i ka maʻi ʻaʻai

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

ʻO ka poʻe e pane koke i ka mālama ʻana e hoʻomaikaʻi maikaʻi. ʻO ka hapa nui o nā keiki me ALL hiki ke hoʻōla ʻia. ʻOi aku ka hopena maikaʻi o nā keiki ma mua o nā mākua.

Hiki i nā leukemia ʻelua a me ka lāʻau ke alakaʻi i nā pilikia he nui e like me ke kahe ʻana o ke koko, ka pohō o ke kaupaona, a me nā maʻi.

Kāhea i kāu mea hāʻawi inā ʻoe a i ʻole kāu keiki e hoʻomohala i nā hōʻailona o ALL.

E hoʻemi ʻia ka makaʻu o ka hoʻomohala ʻana iā ALL ma ka ʻalo ʻana i ka launa ʻana me kekahi mau toxins, radiation, a me nā kemika.

A PAU; Leukemia lymphoblastic huikau; Leukemia lymphoid huikau; Leukemia kamaliʻi nui loa; Ka maʻi ʻaʻai - leukemia kamaliʻi nui (ALL); Leukemia - ʻōpio ʻōpio (ALL); Leukemia lymphocytic huikau

• Hoʻoneʻe iwi iwi - hoʻokuʻu
• Keʻai nei i nā calorie keu ke maʻi - nā mākua
• Pākuʻi ka waha a me ka ʻāʻī - hoʻokuʻu
• Mucositis oral - mālama pono iā ʻoe iho
• Ke loaʻa ka nausea a me ka luaʻi

• ʻIʻini iwi iwi
• ʻO ka leukemia lymphocytic huikau - photomicrograph
• Auer koʻokoʻo
• ʻO ka iwi iwi mai ka pūhaka
• Nā hanana ʻōnaehana pale ʻole

ʻO Carroll WL, Bhatla T. Leukemia lymphoblastic ākea. I: Lanzkowsky P, Lipton JM, Fish JD, eds. ʻO Lanzkowsky's Manual of Pediatric Hematology a me Oncology. ʻElua huaʻōlelo Cambridge, MA: Elsevier Academic Press; 2016: chap 18.

Pūnaewele ʻo National Cancer Institute. ʻO ka mālama ʻana i ka leukemia lymphoblastic olonā koʻikoʻi (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/leukemia/hp/adult-all-treatment-pdq. Hoʻohou i Ianuali 22, 2020. Loaʻa iā Pepeluali 13, 2020.

Pūnaewele ʻo National Cancer Institute. Hoʻomaʻo lymphoblastic leukemia lapaʻau ʻōpio (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/leukemia/hp/child-all-treatment-pdq. Hoʻohou i Pepeluali 6, 2020. Loaʻa iā Pepeluali 13, 2020.

Pūnaewele Pūnaewele Manuahi Manuahi. Nā kulekele hana lapaʻau NCCN i ka oncology: leukemia lymphoblastic huikau. Paʻi 4.2017. www.nccn.org/professionals/physician_gls/pdf/all.pdf. Hoʻohou i Ianuali 15, 2020. Loaʻa iā Pepeluali 13, 2020.